Patient Account Specialist- Insurance Billing

Dayton Children's Hospital; Rome (OH); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Dayton Children’s Hospital is seeking an Insurance Billing Patient Account Specialist to handle all billing and collection activities with insurance carriers. The role works in a Hybrid Ohio setting and reports to the Manager, Patient Financial Services.

Responsibilities include account billing, denial research, payer coordination, and timely follow-up on claims while staying current with payer requirements. Strong communication and analytical skills are essential.

Qualifications

• High school diploma or GED required.
• Minimum 1 year of experience in patient financial services or healthcare billing.
• Ability to work tactfully with patients, staff, and interdepartmental customers.
• Knowledge of healthcare billing regulations and compliance requirements.
• Excellent organizational and time-management skills.

Responsibilities

• Bill and collect activity with insurance carriers.
• Research and contact patients, guarantors, insurers, or third-party payers.
• Under the Manager, Patient Financial Services, bill accounts and review payment accuracy.
• Coordinate with service providers and payers for denials and follow-up.
• Keep payer billing requirements up to date and communicate trends to supervisors.

Skills

Strong communication

Interpersonal skills

Analytical skills

Problem solving

Healthcare billing knowledge

Education

High school diploma or GED

Job description

Job Details

The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers.

Facility

Work from Home - Hybrid - Ohio

Department

Clinical Denials

Schedule

Full time

Hours

40

Job Details

The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers. Under the leadership of the Manager, Patient Financial Services, the patient account specialist is responsible for the billing of accounts, review of payment accuracy, account research, and follow-up. Efforts may include financial, clinical, or demographic account corrections. Research also includes coordination with service providers and payers, root analysis of denied payment, and timely follow up on claims. Filters and sorts EPIC work-queues in an effort to provide most effective A/R strategies. Stays current on all payer billing requirements. Maintains a high level of accuracy and assures compliant billing of claims. Is able to track and communicate payer trends to supervisor and manager.

Department Specific Job Details

Shift

• Monday-Friday
• 8am - 4:30pm (flexible)
• No weekends or holidays

Education

• High school diploma or GED required

Experience

• Minimum of 1 year of experience in patient financial services or healthcare billing

Skills/Competencies

• Strong communication and interpersonal skills
• Ability to work tactfully with patients, staff, and interdepartmental customers
• Strong analytical and problem-solving skills
• Knowledge of healthcare billing regulations and compliance requirements
• Excellent organizational and time-management skill